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1942677877
ETHAN LEWIS
ITHACA, NY
NPI
1942677877
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2015-08-26
Last Update Date
2015-08-26
Business Address
-- ETHAN LEWIS
10 BRENTWOOD DR
ITHACA, NY 14850-1865
Phone number: 607-274-4159
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Mailing Address
-- ETHAN LEWIS
10 BRENTWOOD DR
ITHACA, NY 14850-1865
Phone number:
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